Summaries of Proposed Rules

The following are summaries and other information related to Proposed Rules that the Department of Commerce and Insurance (DCI) has submitted to the Secretary of State for Publication in the Missouri Register. These rules will not go into effect until the public has had an opportunity to submit written comments, and to attend a public hearing if one is scheduled.

Any person may offer comments on a Proposed Rule. The instructions for submitting comments, and the location and date of a hearing if one is scheduled, are located after the text of each rule. Please note that the official text of a Proposed Rule is the version that appears in the Missouri Register, not the draft copy on this site. Refer to the official copy if you wish to submit comments. We hope you find this site helpful and informative.

Proposed Rules

Please scroll to the right to see all of the columns in the table below.
Proposed Rule Summary Fiscal Note(s) Link to Missouri Register / Supporting Documents Small Business Impact Statement Division

Proposed Amendment

20 CSR 2110-2.130.pdf

20 CSR 2110-2.130 Dental Hygienists

The amendment will allow licensed dental hygienists to be delegated expanded function duties under the general supervision of the supervising dentist.    

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – Dental

Proposed Amendment

20 CSR 2110-2.120.pdf

20 CSR 2110-2.120 Dental Assistants

This amendment will establish the minimal expectations for a board approved nitrous oxide training course for dental assistants.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – Dental

Proposed Amendment

20 CSR 2030-13.010.pdf

20 CSR 2030-13.010 Immediate Personal Supervision

This amendment simplifies and clarifies the subsection.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – Architects, Engineers, Surveyors, Landscape Architects

Proposed Amendment

20 CSR 2030--6.015.pdf

20 CSR 2030-6.015 Application, Renewal, Relicensure, and Miscellaneous Fees

This amendment increases renewal fees.  

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will cost private entities six hundred seventy-six thousand eight hundred fifty-five dollars ($676,855) annually. 

This proposed rulemaking does have an adverse impact on small businesses.

Professional Registration – Architects, Engineers, Surveyors, Landscape Architects

Proposed Amendment

20 CSR 2233-2.040.pdf

20 CSR 2233-2.040 Examinations

The amendment is to clean up language to ensure a clear process for examination requirements.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – Marital and Family Therapists

Proposed Amendment

20 CSR 2233-2.021.pdf

20 CSR 2233-2.021 Registered Supervisors and Supervisory Responsibilities

This amendment clarifies and reduces hardship for applicants and clarifies requirements.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – Marital and Family Therapists

Proposed Amendment

20 CSR 2233-2.020.pdf

20 CSR 2233-2.020 Supervised Marital and Family Work Experience

This amendment clarifies and reduces hardship for applicants and clarifies requirements.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – Marital and Family Therapists

Proposed Amendment

20 CSR 2233-2.010.pdf

20 CSR 2233-2.010 Educational Requirements

This amendment will clarify telehealth requirements for the practicum or internship and reduce double work for applicants from nonaccredited programs by clarifying minimum requirements. 

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rulemaking does not have an adverse impact on small businesses.

Professional Registration – Marital and Family Therapists

Proposed Rule

20 CSR 500-4.300.pdf

20 CSR 500-4.300 Rate Variations (Consent Rate) Prerequisites

The purpose of this amendment is to delete section (3) to comply with the amendment of section 379.316.1(3), RSMo, during the 2023 legislative session.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small business.

Insurance

Proposed Rule

20 CSR 200-18.040.pdf

20 CSR 200-18.040 Prohibited Language for Motor Vehicle Extended Service Contract Providers and Producers

The purpose of this rule is to effectuate and aid in the interpretation of section 385.208, RSMo, regarding the registration of motor vehicle extended service contract providers and producers in this state. 

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small business.

Insurance

Proposed Rule

20 CSR 2150-2.125.pdf

20 CSR 2150-2.125 Continuing Medical Education

This amendment adds a one (1) hour requirement on the benefits of nutrition to continuing medical education.   

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five-hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Healing Arts

Proposed Rule

20 CSR 2117-2.080.pdf

20 CSR 2117-2.080 Issuance of Temporary Courtesy License to Nonresident Military Spouse

The rule is being rescinded due to the repeal of section 324.008, RSMo.   

 

Public Costs:

This proposed rescission will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed rescission will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rescission does not have an adverse impact on small businesses.

Professional Registration – Electrical Contractors

Proposed Amendment

20 CSR 2245-8.030.pdf

20 CSR 2245-8.030 Instructor Approval

This amendment updates the name of the continuing education course.  

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Appraisers

Proposed Amendment

20 CSR 2245-8.010.pdf

20 CSR 2245-8.010 Requirements

This amendment updates the name of the continuing education course.   

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small businesses.

Professional Registration – Appraisers

Proposed Amendment

Proposed Amendment 20 CSR 100-8.040 Final.pdf

20 CSR 100-8.040 Insurer Record Retention

This proposed amendment updates the rule so it is consistent with section 374.192.1, RSMo Supp 2024. 

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small business.

Insurance

Proposed Rule

20 CSR 200-12.030.pdf

20 CSR 200-12.030 Extended Missouri and Missouri Mutual

This proposed rescission is because the enactment of section 380.621 RSMo Supp. 

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed rescission does not have an adverse impact on small business.

Insurance

Proposed Amendment

Proposed Amendment 20 CSR 200-4.010.pdf

20 CSR 200-4.010 Books, Records, Accounts and Vouchers

This proposed amendment updates the rule because of the enactment of section 374.192.1 RSMo Supp. 2024.

Public Costs:

This proposed amendment will not cost state agencies or political subdivisions more than five hundred dollars ($500) in the aggregate.

Private Costs:

This proposed amendment will not cost private entities more than five hundred dollars ($500) in the aggregate.

This proposed amendment does not have an adverse impact on small business.

Insurance
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Missouri Department of Commerce & Insurance
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PO Box 690
Jefferson City, MO 65102-0690

Main Office Phone Number

(573) 751-4126

Street Address

Harry S Truman State Office Building
301 W. High St., Room 530
Jefferson City, MO 65101